Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jay M Wilson, MD

Individual provider Surgery Physician · NPI 1902825482

Dr. Jay M Wilson, MD is a Surgery Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave Fegan 3
Boston, MA 02115-5724
Phone: (617) 355-6019
Fax: (617) 730-0477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 57801 (MA)
Surgery Physician Taxonomy 208600000X · Licence 57801 (MA)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 57801 (MA)

Record details

NPI number1902825482
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address58 River Rd, Weston, MA 02493-2435

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